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DE HB265

Bill

Status

Passed

5/1/2012

Primary Sponsor

Edward Bennett

Click for details

Origin

House of Representatives

146th General Assembly

AI Summary

  • Requires health insurance policies (individual, group, and blanket) issued or renewed on or after January 1, 2013, to provide coverage for orally administered anticancer medications used to treat cancer.

  • Mandates that insurers apply the lower cost sharing amount (copays, coinsurance, deductibles) between prescription drug benefits and intravenous or injected anticancer medications for covered oral anticancer drugs.

  • Prohibits insurers from varying policy terms, offering incentives to avoid compliance, penalizing healthcare practitioners, or increasing cost sharing for anticancer medications to achieve compliance with this requirement.

  • Permits insurers to require prior authorization for anticancer treatments and does not require coverage for anticancer medications not otherwise covered by the policy.

  • Applies the same coverage requirements to both individual policies (Chapter 33) and group/blanket policies (Chapter 35) of Title 18 of the Delaware Code under "The Delaware Cancer Treatment Access Act."

Legislative Description

An Act To Amend Title 18 Of The Delaware Code Relating To Health Insurance Coverage For Oral And Intravenous Anticancer Medications.

Last Action

Signed by Governor

5/1/2012

Committee Referrals

Insurance3/22/2012
Economic Development/Banking/Insurance/Commerce1/25/2012

Full Bill Text

No bill text available